Correction of a foreshortened nose or small nose is considered as one of the trickiest nose job operation in the rhinoplasty. Such kind of upturned or over rotated nose may require a counter-rotation or derotation to correct the patient’s facial appearance.
A small nose refers to a nasal structure, which is proportionately too small corresponding to a person’s stature and facial contour. A careful analysis of an individual’s nose reveals whether the small nose is caused by small nasal bones, small middle vault or small tip. This is frequently accompanied by paranasal deficiencies, especially in Koreans, Chinese, Malays, Thais and Indonesian patients with a small midface. Concurrent correction of this deficiency is important to yield the best results.
Correction of a small nose is mainly recommended to:
While correcting a small nose, the key focus of a rhinoplasty surgeon performing a nose correction surgery is preserving the structural integrity of the patient’s nose. Dr. Tan Kar Su always takes into account the longevity of the rhinoplasty operation results, whenever he chooses to place grafts in the nose to make it look bigger.
Two common ways employed by Dr. Tan Kar Su for reshaping a small nose are:
Raising the Patient’s Nasal Bridge: In cosmetic rhinoplasty, a nose job surgeon augments the low nasal bridge of a person having a small nose. In this procedure, the nasal dorsum or bridge is raised by introducing grafts or implants. Common nose implants include Gore-Tex, Medpore, Silastic, Ear Cartilage, Rib Cartilage etc. While Dr. Tan Kar Su mostly recommends the use of autologous grafts options, yet the right material to correct the disorder majorly depends on the kind of nose deformity.
Augmenting the Patient’s Tip Area: The exact distance between an individual’s nasal tip and cheeks is medically referred as projection. For people with a small nose, this tip projection is usually missing. The enhancement of nose tip projection is mainly done by using grafting materials. The grafts used in the surgery mainly depend on the type of tip support required and the nasal deformity of a person. Frequently, the top rhinoplasty surgeons use columellar strut grafts to provide an additional tip support along with preventing the future nose collapse.